The current issue of JAMA includes guidelines for vision screening in young children.1,2 The guidelines are thorough and evidence-based. Simply condensed, vision screening is recommended for children older than 3 years; however, the evidence was insufficient to recommend for or against screening for children aged 6 months to 3 years. Screening offers detection of amblyopia (child has eyes with different refractive powers and/or strabismus), high refractive errors, and even anisocoria (unequal size pupils) in patients often unable to self-identify a problem. The proliferation of screening tools underscores the importance, both medical and financial, of screening.
Good WV. Vision Screening in Very Young Children—Making Sense of an Inexorable Diagnostic Process. JAMA Pediatr. Published online September 05, 2017. doi:10.1001/jamapediatrics.2017.2389